Organization Active NPI

Goshen Family Clinic, Inc.

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1821594045
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOSHEN FAMILY CLINIC, INC.
Practice address
6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378
Phone
(817) 492-1700
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rhoda Stevens, FNP-BC
Title
Nurse Practitioner
Phone
(817) 492-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378

Mailing address

6080 S Hulen St Ste 360
PMB 198
Fort Worth, TX 76132-4810
Phone (817) 492-1700

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1821594045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST STE 360",
            "address_2": "PMB 198",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324810",
            "telephone_number": "817-492-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336378",
            "telephone_number": "817-492-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-492-1700",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.